Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $229.60	Facility		$83.13	$83.13	$229.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $142.35	Professional		$66.00	$66.65	$142.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $71.59 / $95.06	Professional		$66.00	$71.59	$95.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $79.09 / $136.32	Professional		$51.97	$79.09	$136.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $80.50 / $110.29	Facility		$65.25	$80.50	$110.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $72.65 / $283.51	Professional		$65.26	$72.65	$283.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $97.92 / $128.44	Facility		$77.06	$97.92	$128.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $83.48 / $127.09	Professional		$60.44	$83.48	$127.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $130.79 / $137.87	Professional		$66.00	$130.79	$137.87
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $67.98 / $78.54	Professional		$66.00	$67.98	$78.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $71.41 / $71.41	Facility		$71.41	$71.41	$71.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $71.41 / $71.41	Professional		$56.41	$71.41	$71.41